Form 1—Information Pertaining to Initial Order

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(To be filed with the Superintendent of Bankruptcy under paragraph 23(1)(f) of the Companies' Creditors Arrangement Act)

The following information pertains to the order made on the initial application in respect of ___________________________________ (name of debtor company):

1. Name of court, judicial district and court file number:

____________________________________________________

____________________________________________________

____________________________________________________

2. Date on which order is made:

____________________________________________________

3. Debtor company's head office address, telephone number and Web site address, if any:

____________________________________________________

____________________________________________________

____________________________________________________

4. Names under which debtor company carries on business, if different from name set out above:

____________________________________________________

____________________________________________________

5. Name and Web site address of monitor:

____________________________________________________

____________________________________________________

____________________________________________________

6. Name, address, telephone number and e-mail address of monitor's representative responsible for the proceedings:

____________________________________________________

____________________________________________________

____________________________________________________

7. Web page address created for the proceedings, if any:

____________________________________________________

____________________________________________________

Dated at ____________________, ____________, on _____________, 20______.

__________________________________
Monitor's representative
responsible for the proceedings

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